PDF(Pubmed)
Abstract：
UNASSIGNED: Hyperemesis Gravidarum (HG) is a severe form of nausea and vomiting in pregnancy that affects 0.3-3% of women and has profound nutritional, physical and psychological consequences. Research is lacking regarding the most effective management of the condition. In response to patient feedback, a multidisciplinary HG day-case service (IRIS Clinic) was launched in 2020 at The National Maternity Hospital, Ireland. The clinic provides routine, day-case care in a comfortable space with pre-booked appointments. The MDT involves midwives, dietitians, perinatal mental health, obstetrics and pharmacy, and the nature of the clinic enables peer-to-peer support. As this clinic is the first of its kind in Ireland, we aim to assess its effectiveness and feasibility, and suggest recommendations for improvement.
UNASSIGNED: This is a sequential, mixed-methods study that commenced in August 2021. The prospective arm of the study is ongoing and involves enrolling women (n = 50) who are attending the IRIS clinic. Data are collected on first admission (pre-intervention) and approximately 8 weeks\' later (post-intervention) relating to symptoms of HG, well-being, food tolerances, quality of life and nutritional intake. Qualitative, semi-structured interviews will be conducted to evaluate women\'s experiences of attending the clinic. The retrospective arm of the study will be a chart review (n = 200) of women diagnosed with HG to describe assessments, treatments and pregnancy and birth outcomes.
UNASSIGNED: The IRIS clinic has the potential to improve pregnancy outcomes and nutritional status among women with HG. If found to be effective and feasible, the model for this clinic could be replicated elsewhere.
UNASSIGNED: This is a sequential, mixed-methods study that commenced in August 2021. The prospective arm of the study is ongoing and involves enrolling women (n = 50) who are attending the IRIS clinic. Data are collected on first admission (pre-intervention) and approximately 8 weeks\' later (post-intervention) relating to symptoms of HG, well-being, food tolerances, quality of life and nutritional intake. Qualitative, semi-structured interviews will be conducted to evaluate women\'s experiences of attending the clinic. The retrospective arm of the study will be a chart review (n = 200) of women diagnosed with HG to describe assessments, treatments and pregnancy and birth outcomes.
UNASSIGNED: The IRIS clinic has the potential to improve pregnancy outcomes and nutritional status among women with HG. If found to be effective and feasible, the model for this clinic could be replicated elsewhere.
摘要：
■妊娠剧吐（HG）是一种严重的妊娠恶心和呕吐形式，影响0.3-3％的妇女，并具有丰富的营养，生理和心理后果。缺乏关于最有效管理病情的研究。为了回应患者的反馈，多学科HG日间病例服务（IRIS诊所）于2020年在国家妇产医院启动，爱尔兰。诊所提供常规，日间护理在一个舒适的空间提前预订预约。MDT涉及助产士，营养师,围产期心理健康，产科和药房，和诊所的性质使点对点支持。因为这个诊所是爱尔兰第一个这样的诊所，我们的目标是评估其有效性和可行性，并提出改进建议。
■这是一个连续的，2021年8月开始的混合方法研究。该研究的前瞻性部分正在进行中，涉及到正在IRIS诊所就诊的女性（n=50）。首次入院（干预前）和约8周后（干预后）收集与HG症状相关的数据，幸福,食物耐受性，生活质量和营养摄入。定性,将进行半结构化访谈，以评估妇女参加诊所的经历。该研究的回顾性研究将是对诊断为HG的女性进行图表审查（n=200），以描述评估，治疗和妊娠和分娩结果。
IRIS诊所有可能改善HG妇女的妊娠结局和营养状况。如果发现有效和可行，该诊所的模型可以在其他地方复制。
■这是一个连续的，2021年8月开始的混合方法研究。该研究的前瞻性部分正在进行中，涉及到正在IRIS诊所就诊的女性（n=50）。首次入院（干预前）和约8周后（干预后）收集与HG症状相关的数据，幸福,食物耐受性，生活质量和营养摄入。定性,将进行半结构化访谈，以评估妇女参加诊所的经历。该研究的回顾性研究将是对诊断为HG的女性进行图表审查（n=200），以描述评估，治疗和妊娠和分娩结果。
IRIS诊所有可能改善HG妇女的妊娠结局和营养状况。如果发现有效和可行，该诊所的模型可以在其他地方复制。
